AANA19 Shoulder Access Pass-It's Not Loco! Reverse is the Only Real Option-Dr. Patrick St. Pierre, M.D.

It's Not Loco! Reverse is the Only Real Option-Dr. Patrick St. Pierre, M.D.

Video Transcription

Video Summary

During a panel discussion, the speaker expresses that the reverse option is not the only real option for treating rotator cuff tears, as different situations call for different approaches. The speaker highlights the importance of considering factors such as tear size and patient age when determining the best treatment. They discuss various studies that show higher re-tear rates in larger tears and in older patients. The speaker acknowledges the success of different techniques, including balloon surgery, but questions their applicability for older patients with arthritis who want to return to high-level activities. They present studies and personal results showing the positive outcomes of reverse shoulder replacements, including high return to activity rates and long-term survival. The speaker attributes their success to being a high-volume shoulder surgeon, using specific surgical techniques, providing a detailed home exercise program, and offering patient education materials. They show examples of patients who have successfully returned to high-level activities after reverse surgery. The speaker concludes by stating that the reverse option is a no-brainer for patients with massive tears, those over 60 years old, or those with arthritis, when other techniques fail. No credits were granted in the transcript.

Asset Caption

Symposium: Grand Debate - The Massive Cuff Tear 5.2.2019

Keywords

rotator cuff tears

treatment options

tear size

patient age

reverse shoulder replacements